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The Relationship between Purchaser Type and Home Health Utilization and Outcomes

Jayne Furness Moore

Yvonne Michel

The study's purpose was to compare characteristics, service utilization, and outcomes of home health patients enrolled in fee-for-service (FFS) versus health maintenance organization (HMO) health plans. Results documented that HMO patients were healthier and used fewer resources than FFS patients. Outcomes for HMO patients were superior to those of FFS patients. Phi correlation coefficients showed that purchaser type was not a substantial predictor of patient outcomes. Home health staff need to begin intense case management of FFS patients to identify when patient outcomes are maximized and continued services will not further improve or stabilize the patient's condition.

Key Words: home health • outcomes • patient characteristics • purchaser, service utilization

Home Health Care Management & Practice, Vol. 12, No. 4, 49-56 (2000)
DOI: 10.1177/108482230001200412


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